Patient Views of Facial Feminization Surgery

This first article is a good discussion of the experience of getting facial feminization surgery (FFS) from the point of view of a patient. She describes the process of choosing the surgeon and the procedures she wanted as well as dealing with family and friends. Olivia is extremely happy about the surgery and doesn’t mind the pain involved in recovery.

The pictures in the article aren’t labelled before and after, but Olivia looks great in all of them. She was passing successfully before the surgery.

The article was written a little under two months after the surgery; it would be good to read a follow-up from her.

I Had Facial Feminization Surgery by Olivia.


This next piece is a detailed diary of FFS in 1999 by Dr. Ousterhout. It includes many graphic pictures of post-surgery recovery.

Lynn’s FFS Diary

This is another diary with graphic pictures of recovery from 2000.

Madeline’s Facial Feminization Surgery

Despite the pain involved in recovery, Lynn and Madeline were both happy with their surgeries.

Lynn was already passing successfully before the surgery and had lived as a woman for many years without anyone knowing her history. Madeline transitioned after her surgery, so it is impossible to know if she could have passed without surgery.


This last article is a good set of guidelines for planning FFS. The author also discusses the process she went through in choosing a surgeon and surgeries to be done. She was not happy with the results and wants to help others avoid making the same mistakes.

The 7 Rules of Having FFS

The author of this article also wrote about regret after FFS. Both of these pieces were written shortly after the surgery; it would be good to read a follow-up piece.

One of the key things that seems to have gone wrong in the process here was not taking enough time before getting the surgery.

There is a reluctance to blame doctors and therapists in a situation like this last one that is troubling. Patients looking for FFS have strong feelings of gender dysphoria. Doctors and therapists need to work to help the patients figure out what they really need and want. Because surgeons make a great deal of money from FFS, there may be a need for a third party to advise the patient as well.

I would advise anyone seeking FFS to get counseling from someone who is not a surgeon. Patients might also want to bring a friend to consultations with a surgeon, particularly if they are having a hard time communicating their wishes.